A Rare Pediatric Encounter: Diagnosing and Managing Upward Eye Deviation Due to Maxillary Sinus Hydatid Cyst

Abstract

Echinococcosis is a zoonotic parasitic disease caused by the larval stages of different Echinococcus species, leading to a significant global public health concern. The case report highlights an extremely rare cystic echinococcosis manifestation in an 8-year-old male child's maxilla, causing an upward deviation in his left eye. No previous significant medical history was noted, and a detailed examination uncovered a lesion within the left maxillary sinus. Advanced imaging techniques, including CT and MRI, depicted the cystic nature of the lesion and its impact on adjacent structures. A collaborative surgical intervention involving endoscopic surgical techniques, anterior ethmoidectomy, and careful cyst removal was performed. The histopathological examination confirmed the diagnosis. Remarkably, orbital floor dehiscence was observed during surgery but was managed without complication. Postoperative care included medication and careful monitoring, with the child showing significant improvement and correction of the eye deviation. The coordination with specialists ensures ongoing observation and vigilance against recurrence. This case underscores the challenges in diagnosing and managing such rare occurrences and emphasizes the need for interdisciplinary collaboration in healthcare to achieve successful outcomes.